Acute Myocardial InfarctionPhase 2NCT02108262
A Phase 2b Study of CSL112 in Subjects With Acute Myocardial Infarction.
A Phase 2 study testing CSL112 in people with Acute Myocardial Infarction, run by CSL Behring at 189 sites in 16 countries.
Trial summary
This is a multicenter randomized, double-blind, placebo-controlled, parallel-group, dose-ranging phase 2b study to investigate the hepatic and renal safety and tolerability of multiple dose administration of two dose levels of CSL112 compared with placebo in subjects with acute myocardial infarction (AMI). Read more about this study
- Who is it for?
- Ages 18 years and older
- Conditions the study is for
- Acute Myocardial Infarction
- What is being tested?
- CSL112
- Type of treatment
- Injection or infusion
- Could I receive a placebo?
- Yes, some participants may receive a placebo
- How many people
- 1,267 participants
- Where
- 189 sitesin 16 countries
- Study dates
- Aug 2014to Mar 2016
- Phase
- Phase 2
- Are there results?
- Yes, posted in the registrySummary in the doctors' view
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages 18 years and older
- All sexes
- No healthy volunteers
- Adult, Older adult
Who may be able to join
- Men or women, at least 18 years of age, with evidence of myocardial necrosis in a clinical setting consistent with a type I (spontaneous) acute myocardial infarction (AMI), in the last week.
Who cannot join
- Ongoing hemodynamic instability
- Evidence of hepatobiliary disease
- Evidence of chronic kidney disease (CKD) (Stage III, IV, or V), defined as moderate or severe renal impairment or if subject is receiving dialysis
- Evidence of unstable renal function
- History of acute kidney injury after previous exposure to an intravenous contrast agent.
- Known history of allergies, hypersensitivity or deficiencies to CSL112 or any of its components
- Other severe comorbid condition, concurrent medication, or other issue that renders the subject unsuitable for participation in the study
Trial locations and contacts
189 sites in 16 countries.
189 sites in 16 countries
United States48 sites
Study Site 16208
Alexandria, Louisiana, 71301
Study Site 16015
Amarillo, Texas, 79106
Study Site 16144
Atlanta, Georgia, 30322
Study Site 16062
Auburn, Maine, 04210
Study Site 16031
Baltimore, Maryland, 21215
Study Site 16079
Bangor, Maine, 04401
Study Site 16101
Birmingham, Alabama, 35211
Study Site 16112
Boise, Idaho, 83712
Study Site 16170
Bridgeport, Connecticut, 06606
Study Site 16033
Brooklyn, New York, 11215
Study Site 16174
Buffalo, New York, 14215
Study Site 16047
Cincinnati, Ohio, 45219
Study Site 16148
Clearwater, Florida, 33756
Study Site - 16168
Concord, California, 94520
Study Site 16168
Concord, California, 94520
Study Site 16099
Dallas, Texas, 75216
Study Site 16135
Danbury, Connecticut, 06810
Study Site 16028
Detroit, Michigan, 48202
Study Site 16056
Durham, North Carolina, 27705
Study Site 16201
Elizabeth City, North Carolina, 27909
Study Site 16179
Elkhart, Indiana, 46514
Study Site 16060
Evanston, Illinois, 60201
Study Site 16202
Greeneville, Tennessee, 37745
Study Site 16039
Greenwood, South Carolina, 29646
Study Site 16026
Hershey, Pennsylvania, 17033
Study Site 16014
High Point, North Carolina, 27262
Study Site 16078
Huntsville, Alabama, 35801
Study Site 16102
Indianapolis, Indiana, 46290
Study Site 16003
Jacksonville, Florida, 32209
Study Site 16100
Lancaster, Pennsylvania, 17604
Study Site 16088
Lexington, Kentucky, 40504
Study Site 16004
Lexington, Kentucky, 40536
Study Site 16130
Littleton, Colorado, 80120
Study Site 16016
Louisville, Kentucky, 40202
Study Site 16211
Minneapolis, Minnesota, 55407
Study Site 16213
New York, New York, 10029
Study Site 16061
Petoskey, Michigan, 49770
Study Site 16017
Philadelphia, Pennsylvania, 19104
Study Site 16018
Rapid City, South Dakota, 57701
Study Site 16038
Richmond, Virginia, 23298
Study Site 16147
Sacramento, California, 95819
Study Site 16234
Saint Paul, Minnesota, 55102
Study Site 16022
Torrance, California, 90502
Study Site 16063
Tupelo, Mississippi, 38801
Study Site 16166
Wausau, Wisconsin, 54401
Study Site 16025
West Des Moines, Iowa, 50266
Study Site 16241
Wichita Falls, Texas, 76301
Study Site 16024
Winston-Salem, North Carolina, 27157
Bulgaria19 sites
Study Site 12005
Blagoevgrad, 2700
Study Site 12008
Burgas, 8000
Study Site 12006
Dobrich, 9300
Study Site 12021
Haskovo, 6300
Study Site 12009
Pazardzhik, 4400
Study Site 12019
Pazardzhik, 4400
Study Site 12016
Pleven, 5800
Study Site 12014
Plovdiv, 4002
Study Site 12018
Plovdiv, 4002
Study Site 12017
Sandanski, 2800
Study Site 12003
Sofia, 1233
Study Site 12001
Sofia, 1309
Study Site 12004
Sofia, 1407
Study Site 12012
Sofia, 1407
Study Site 12010
Sofia, 152
Study Site 12013
Sofia, 1750
Study Site 12011
Varna, 9010
Study Site 12002
Veliko Tarnovo, 5000
Study Site 12007
Yambol, 8600
Czechia16 sites
Study Site 14010
Brno, 625 00
Study Site 14006
Brno, 656 91
Study Site 14004
Hradec Králové, 500 05
Study Site 14012
Jablonec nad Nisou, 466 60
Study Site 14011
Jihlava, 586 33
Study Site 14016
Kolín, 280 00
Study Site 14017
Náchod, 547 01
Study Site 14007
Ostrava, 708 52
Study Site 14003
Pardubice, 532 03
Study Site 14002
Prague, 100 34
Study Site 14001
Prague, 128 08
Study Site 14015
Prague, 128 08
Study Site 14009
Prague, 150 06
Study Site 14008
Praha 4 - Krc, 140 59
Study Site 14014
Teplice, 415 01
Study Site 14005
Ústí nad Orlicí, 562 18
Netherlands12 sites
Study Site 21001
Alkmaar, 1815 JD
Study Site 21006
Amsterdam, 091 AC
Study Site 21013
Amsterdam, 1081 HV
Study Site 21016
Amsterdam, 1105 AZ
Study Site 21004
Ede, 6716 RP
Study Site 21014
Leeuwarden, 8934 AD
Study Site 21003
Nieuwegein, 3435 CM
Study Site 21008
Nijmegen, 6525 EC
Study Site 21009
Rotterdam, 3079 DZ
Study Site 21010
Sneek, 8601 ZK
Study Site 21015
Tilburg, 5042 AD
Study Site 21011
Venlo, 5912 BL
Spain12 sites
Study Site - 23012
A Coruña, La Coruna, 15006
Study Site - 23005
Barcelona, 08003
Study Site - 23002
Barcelona, 08023
Study Site - 23001
Barcelona, 08036
Study Site - 23010
L'Hospitalet de Llobregat, Barcelona, 08907
Study Site - 23003
Madrid, 28007
Study Site - 23013
Madrid, 28034
Study Site - 23004
Madrid, 28040
Study Site - 23007
Málaga, 29010
Study Site - 23006
Santiago de Compostela, La Coruna, 15706
Study Site - 23009
Tarragona, 43007
Study Site - 23011
Valencia, 46010
Germany11 sites
Study Site 17005
Berlin, Berin, 10249
Study Site 17003
Berlin, 10117
Study Site 17009
Berlin, 10967
Study Site 17002
Berlin, 12351
Study Site 17014
Franfurt, Hesse, 65929
Study Site 17001
Freiburg im Breisgau, Baden-Wurttemberg, 79106
Study Site 17006
Hamburg, 20246
Study Site 17012
Hanover, Lower Saxony, 30625
Study Site 17007
Lüdenscheid, North Rhine-Westphalia, 58509
Study Site 17010
Ludwigshafen am Rhein, Rhineland-Palatinate, 67063
Study Site 17011
Mainz, Rhineland-Palatinate, 55131
Poland11 sites
Study Site - 22015
Gdansk, 80-952
Study Site - 22010
Grodzisk Mazowiecki, 05-825
Study Site - 22012
Inowrocław, 88-10
Study Site 22009
Kielce, 25-736
Study Site - 22007
Krakow, 31-202
Study Site - 22014
Lodz, 91-347
Study Site - 22013
Starogard Gdański, 83-200
Study Site - 22006
Wałbrzych, 58-309
Study Site - 22008
Warsaw, 01-211
Study Site - 22016
Wejherowo, 84-200
Study Site - 22005
Wroclaw, 50-981
Canada9 sites
Study Site - 13003
Edmonton, Alberta, T5H 3V9
Study Site - 13002
Edmonton, Alberta, T6G 2B7
Study Site - 13008
London, Ontario, N6A 5A5
Study Site - 13014
Montreal, Quebec, H2W 1T8
Study Site - 13010
Newmarket, Ontario, L3Y 2P7
Study Site - 13017
Penticton, British Columbia, V2A 3G6
Study Site - 13007
Québec, G1V 4G5
Study Site - 13019
St. John's, Newfoundland and Labrador, A1B 3V6
Study Site - 13012
Victoria, British Columbia, V8R 4R2
Israel9 sites
Study Site 19010
Ashkelon, 7830604
Study Site 19006
Beersheba, 8410101
Study Site 19005
Haifa, 3109601
Study Site 19004
Holon, 5822012
Study Site 19003
Jerusalem, 91120
Study Site 19007
Jerusalem, 9124001
Study Site 19002
Nahariya, 2210001
Study Site 19009
Ramat Gan, 5262000
Study Site 19008
Safed, 13100
Italy9 sites
Study Site 20009
Benevento, 82100
Study Site 20003
Legnano, Milano, 20025
Study Site 20002
Magenta, Milano, 20013
Study Site 20011
Naples, 80131
Study Site 20007
Rimini, 47923
Study Site 20012
Roma, 00189
Study Site 20008
Rozzano, Milano, 20089
Study Site 20001
Terni, 05100
Study Site 20006
Udine, 33100
Hungary8 sites
Study Site 18008
Budapest, 1023
Study Site 18001
Budapest, 1122
Study Site 18005
Budapest, 1134
Study Site 18002
Győr, 9024
Study Site 18007
Nyíregyháza, 4400
Study Site 18003
Pécs, 7624
Study Site 18009
Szeged, 6720
Study Site 18006
Szolnok, 5000
France6 sites
Study Site - 25008
Nantes, Loire Antlantique, 44093
Study Site - 25002
Paris, Paris, 75571
Study Site - 25001
Paris, 75013
Study Site - 25004
Pau, Pyrenees Atlantiques, 64046
Study Site - 25003
Pessac, Gironde, 33604
Study Site - 25005
Toulouse, Haute Garonne, 31076
United Kingdom6 sites
Study Site - 24004
Basildon, Essex, SS16 5NL
Study Site - 24006
Clydebank, Dunbartonshire, G81 1DY
Study Site - 24010
Leicester, Leicestershire, LE3 9QP
Study Site - 24003
London, Greater London, E2 9JX
Study Site - 24009
Newcastle upon Tyne, Tyne & Wear, NE7 7DN
Study Site 24005
Romford, Essex, UM7 0AG
Australia5 sites
Study Site 10005
Adelaide, South Australia, 5000
Study Site 10006
Epping, Victoria, 3076
Study Site 10007
Geelong, Victoria, 3220
Study Site 10002
Herston, Queensland, 4029
Study Site 10012
Woodville South, South Australia, 5011
Denmark5 sites
Study Site 15001
Aalborg, 9100
Study Site 15005
Esbjerg, 6700
Study Site 15002
Hellerup, 2900
Study Site 15004
Hvidovre, 2650
Study Site 15003
Odense, 5000
Austria3 sites
Study Site 11004
Innsbruck, 6020
Study Site 11002
Vienna, 1090
Study Site 11001
Vienna, 1160
About this study
Official title: A Phase 2b, Multi-center, Randomized, Placebo-controlled, Dose-ranging Study to Investigate the Safety and Tolerability of Multiple Dose Administration of CSL112 in Subjects With Acute Myocardial Infarction.
This is a multicenter randomized, double-blind, placebo-controlled, parallel-group, dose-ranging phase 2b study to investigate the hepatic and renal safety and tolerability of multiple dose administration of two dose levels of CSL112 compared with placebo in subjects with acute myocardial infarction (AMI).
- Conditions
- Acute Myocardial Infarction
- Being tested
- CSL112, Placebo
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
CSL112Biological
CSL112 is a novel formulation of apolipoprotein A-I (apoA-I) purified from human plasma and reconstituted to form high-density lipoprotein (HDL) particles.
PlaceboBiological
0.9% weight/volume sodium chloride solution (ie, normal saline)
| Study group | Role | What they receive |
|---|---|---|
| CSL112 - low dose | Experimental | CSL112 (low dose) is to be administered as an intravenous (IV) infusion once weekly for 4 consecutive weeks. Receives: Biological: CSL112 |
| CSL112 - high dose | Experimental | CSL112 (high dose) is to be administered as an IV infusion once weekly for 4 consecutive weeks. Receives: Biological: CSL112 |
| Placebo | Placebo comparator | Placebo is to be administered as an IV infusion at the same frequency, volume and duration as either the low dose or high dose CSL112 infusion. Receives: Biological: Placebo |
What is being measured
The primary outcome is the main question the study is designed to answer.
Percent of Participants With Clinically Important Change in Drug-induced Liver Injury
A clinically important change in drug-induced liver injury is defined as a change (from baseline) in alanine aminotransferase (ALT) greater than 3 times the upper limit of normal (ULN) or a change in total bilirubin greater than 2 times ULN, that is confirmed upon repeat measurement.
Measured: From baseline (before first infusion) to Day 29.
Percent of Participants With Clinically Important Change in Renal Status
A clinically important change in renal status is defined as a serum creatinine (Cr) increase to ≥ 1.5 x the baseline value that is confirmed upon repeat measurement.
Measured: From baseline (before first infusion) to Day 29.
Secondary outcomes (61)
The Percentage of Participants With a Time-to-first Major Adverse Cardiovascular Event (MACE)
The MACE is a 4-component composite comprised of the time to the first of the following events: CV death, nonfatal myocardial infarction, ischemic stroke (non-hemorrhagic), and hospitalization for unstable angina.
Measured: From the start of the first infusion up to approximately 382 days
Change From Baseline in Concentrations of Apolipoprotein A-I (apoA-I) and Phosphatidylcholine (PC) at End of First Infusion for All Participants
Apolipoprotein A-I (apoA-I) and Phosphatidylcholine (PC) are analytes of CSL112
Measured: Before first infusion and end of first infusion
Change From Baseline in Plasma Concentrations of apoA-I and PC at End of Fourth Infusion for All Participants
Measured: Before first infusion and end of fourth infusion
Change From Baseline in Plasma Concentrations of apoA-I and PC at End of First Infusion for Participants With Normal Renal Function
apoA-I and PC are analytes of CSL112
Measured: Before first infusion and end of first infusion
Change From Baseline in Plasma Concentrations of apoA-I and PC at End of Fourth Infusion for Participants With Normal Renal Function
apoA-I and PC are analytes of CSL112
Measured: Before first infusion and end of fourth infusion
Change From Baseline in Plasma Concentrations of apoA-I and PC at End of First Infusion for Participants With Mild Renal Impairment
apoA-I and PC are analytes of CSL112
Measured: Before first infusion and end of first infusion
Change From Baseline in Plasma Concentrations of apoA-I and PC at End of Fourth Infusion for Participants With Mild Renal Impairment
apoA-I and PC are analytes of CSL112
Measured: Before first infusion and end of fourth infusion
Change From Baseline in Plasma Cmax for apoA-I and PC After First Infusion for All Participants
Cmax is the maximal plasma concentration.
Measured: Before first infusion (baseline) and for up to approximately 7 days after first infusion
Change From Baseline in Plasma Cmax for apoA-I and PC After Fourth Infusion for All Participants
Cmax is the maximal plasma concentration.
Measured: Before first infusion (baseline) and for up to approximately 7 days after fourth infusion
Change From Baseline in Plasma Cmax for apoA-I and PC After First Infusion for Participants With Normal Renal Function
Cmax is the maximal plasma concentration.
Measured: Before first infusion (baseline) and for up to approximately 7 days after first infusion
Change From Baseline in Plasma Cmax for apoA-I and PC After Fourth Infusion for Participants With Normal Renal Function
Cmax is the maximal plasma concentration.
Measured: Before first infusion (baseline) and for up to approximately 7 days after fourth infusion
Change From Baseline in Plasma Cmax for apoA-I and PC After First Infusion for Participants With Mild Renal Impairment
Cmax is the maximal plasma concentration.
Measured: Before first infusion (baseline) and for up to approximately 7 days after first infusion
Change From Baseline in Plasma Cmax for apoA-I and PC After Fourth Infusion for Participants With Mild Renal Impairment
Cmax is the maximal plasma concentration.
Measured: Before first infusion (baseline) and for up to approximately 7 days after fourth infusion
Change From Baseline in Plasma Tmax for apoA-I and PC After First Infusion for All Participants
Tmax is time to maximal plasma concentration
Measured: Before and for 7 days after the first infusion
Change From Baseline in Plasma Tmax for apoA-I and PC After Fourth Infusion for All Participants
Tmax is time to maximal plasma concentration
Measured: Before and for 7 days after the fourth infusion
Change From Baseline in Plasma Tmax for apoA-I and PC After First Infusion for Participants With Normal Renal Function
Tmax is time to maximal plasma concentration
Measured: Before and for 7 days after the first infusion
Change From Baseline in Plasma Tmax for apoA-I and PC After Fourth Infusion for Participants With Normal Renal Function
Tmax is time to maximal plasma concentration
Measured: Before and for 7 days after the fourth infusion
Change From Baseline in Plasma Tmax for apoA-I and PC After First Infusion for Participants With Mild Renal Impairment
Tmax is time to maximal plasma concentration
Measured: Before and for 7 days after the first infusion
Change From Baseline in Plasma Tmax for apoA-I and PC After Fourth Infusion for Participants With Mild Renal Impairment
Tmax is time to maximal plasma concentration
Measured: Before and for 7 days after the fourth infusion
Change From Baseline in Plasma Area Under the Curve (AUC) AUC0 - Last for apoA-I and PC After First Infusion for All Participants
Area under the plasma concentration time curve (AUC) from time point zero (baseline) to the last quantifiable time-point before the analyte first returns to baseline [AUC0 - last]
Measured: Before first infusion (baseline) and for up to approximately 7 days after first infusion
Change From Baseline in Plasma AUC0 - Last for apoA-I and PC After Fourth Infusion for All Participants
Area under the plasma concentration time curve (AUC) from time point zero (baseline) to the last quantifiable time-point before the analyte first returns to baseline [AUC0 - last]
Measured: Before first infusion (baseline) and for up to approximately 7 days after fourth infusion
Change From Baseline in Plasma AUC0 - Last for apoA-I and PC After First Infusion for Participants With Normal Renal Function
Area under the plasma concentration time curve (AUC) from time point zero (baseline) to the last quantifiable time-point before the analyte first returns to baseline [AUC0 - last]
Measured: Before first infusion (baseline) and for up to approximately 7 days after first infusion
Change From Baseline in Plasma AUC0 - Last for apoA-I and PC After Fourth Infusion for Participants With Normal Renal Function
Area under the plasma concentration time curve (AUC) from time point zero (baseline) to the last quantifiable time-point before the analyte first returns to baseline [AUC0 - last]
Measured: Before first infusion (baseline) and for up to approximately 7 days after fourth infusion
Change From Baseline in Plasma AUC0 - Last for apoA-I and PC After First Infusion for Subjects With Mild Renal Impairment
Area under the plasma concentration time curve (AUC) from time point zero (baseline) to the last quantifiable time-point before the analyte first returns to baseline [AUC0 - last]
Measured: Before first infusion (baseline) and for up to approximately 7 days after first infusion
Change From Baseline in Plasma AUC0 - Last for apoA-I and PC After Fourth Infusion for Participants With Mild Renal Impairment
Area under the plasma concentration time curve (AUC) from time point zero (baseline) to the last quantifiable time-point before the analyte first returns to baseline [AUC0 - last]
Measured: Before first infusion (baseline) and for up to approximately 7 days after fourth infusion
Change From Baseline in Plasma AUC0-t for apoA-I and PC After First Infusion for All Participants
AUC from baseline to time point t (AUC0-t)
Measured: Before first infusion (baseline) and for up to approximately 7 days after first infusion
Change From Baseline in Plasma AUC0-t for apoA-I and PC After Fourth Infusion for All Participants
AUC from baseline to time point t (AUC0-t)
Measured: Before first infusion (baseline) and for up to approximately 7 days after fourth infusion
Change From Baseline in Plasma AUC0-t for apoA-I and PC After First Infusion for Participants With Normal Renal Function
AUC from baseline to time point t (AUC0-t)
Measured: Before first infusion (baseline) and for up to approximately 7 days after first infusion
Change From Baseline in Plasma AUC0-t for apoA-I and PC After Fourth Infusion for Participants With Normal Renal Function
AUC from baseline to time point t (AUC0-t)
Measured: Before first infusion (baseline) and for up to approximately 7 days after fourth infusion
Change From Baseline in Plasma AUC0-t for apoA-I and PC After First Infusion for Participants With Mild Renal Impairment
AUC from baseline to time point t (AUC0-t)
Measured: Before first infusion (baseline) and for up to approximately 7 days after first infusion
Change From Baseline in Plasma AUC0-t for apoA-I and PC After Fourth Infusion for Participants With Mild Renal Impairment
AUC from baseline to time point t (AUC0-t)
Measured: Before first infusion (baseline) and for up to approximately 7 days after fourth infusion
Change From Baseline in Plasma AUC0-∞ for apoA-I and PC After First Infusion for All Participants
AUC0-∞ is plasma area under the curve (AUC0-infinity)
Measured: Before first infusion (baseline) and for up to approximately 7 days after first infusion
Change From Baseline in Plasma AUC0-∞ for apoA-I and PC After Fourth Infusion for All Participants
AUC0-∞ is plasma area under the curve (AUC0-infinity)
Measured: Before first infusion (baseline) and for up to approximately 7 days after fourth infusion
Change From Baseline in Plasma AUC0-∞ for apoA-I and PC After First Infusion for Participants With Normal Renal Function
AUC0-∞ is plasma area under the curve (AUC0-infinity)
Measured: Before first infusion (baseline) and for up to approximately 7 days after first infusion
Change From Baseline in Plasma AUC0-∞ for apoA-I and PC After Fourth Infusion for Participants With Normal Renal Function
AUC0-∞ is plasma area under the curve (AUC0-infinity)
Measured: Before first infusion (baseline) and for up to approximately 7 days after fourth infusion
Change From Baseline in Plasma AUC0-∞ for apoA-I and PC After First Infusion for Participants With Mild Renal Impairment
AUC0-∞ is plasma area under the curve (AUC0-infinity)
Measured: Before first infusion (baseline) and for up to approximately 7 days after first infusion
Change From Baseline in Plasma AUC0-∞ for apoA-I and PC After Fourth Infusion for Participants With Mild Renal Impairment
AUC0-∞ is plasma area under the curve (AUC0-infinity)
Measured: Before first infusion (baseline) and for up to approximately 7 days after fourth infusion
Change From Baseline in Plasma Terminal Half-life (t1/2) for apoA-I and PC After First Infusion for All Participants
Measured: Before first infusion (baseline) and for up to approximately 7 days after first infusion
Change From Baseline in Plasma Terminal Half-life (t1/2) for apoA-I and PC After Fourth Infusion for All Participants
Measured: Before first infusion (baseline) and for up to approximately 7 days after fourth infusion
Change From Baseline in Plasma Terminal Half-life (t1/2) for apoA-I and PC After First Infusion for Participants With Normal Renal Function
Measured: Before first infusion (baseline) and for up to approximately 7 days after first infusion
Change From Baseline in Plasma Terminal Half-life (t1/2) for apoA-I and PC After Fourth Infusion for Participants With Normal Renal Function
Measured: Before first infusion (baseline) and for up to approximately 7 days after fourth infusion
Change From Baseline in Plasma Terminal Half-life (t1/2) for apoA-I and PC After First Infusion for Participants With Mild Renal Impairment
Measured: Before first infusion (baseline) and for up to approximately 7 days after first infusion
Change From Baseline in Plasma Terminal Half-life (t1/2) for apoA-I and PC After Fourth Infusion for Participants With Mild Renal Impairment
Measured: Before first infusion (baseline) and for up to approximately 7 days after fourth infusion
Change From Baseline in Plasma Clearance (CL) for apoA-I and PC After First Infusion for All Participants
Measured: Before first infusion (baseline) and for up to approximately 7 days after first infusion
Change From Baseline in Plasma Clearance (CL) for apoA-I and PC After Fourth Infusion for All Participants
Measured: Before first infusion (baseline) and for up to approximately 7 days after fourth infusion
Change From Baseline in Plasma Clearance (CL) for apoA-I and PC After First Infusion for Participants With Normal Renal Function
Measured: Before first infusion (baseline) and for up to approximately 7 days after first infusion
Change From Baseline in Plasma Clearance (CL) for apoA-I and PC After Fourth Infusion for Participants With Normal Renal Function
Measured: Before first infusion (baseline) and for up to approximately 7 days after fourth infusion
Change From Baseline in Plasma Clearance (CL) for apoA-I and PC After First Infusion for Participants With Mild Renal Impairment
Measured: Before first infusion (baseline) and for up to approximately 7 days after first infusion
Change From Baseline in Plasma Clearance (CL) for apoA-I and PC After Fourth Infusion for Participants With Mild Renal Impairment
Measured: Before first infusion (baseline) and for up to approximately 7 days after fourth infusion
Change From Baseline in Plasma Volume of Distribution at Steady State (Vss) for apoA-I and PC After First Infusion for All Participants
Measured: Before first infusion (baseline) and for up to approximately 7 days after first infusion
Change From Baseline in Plasma Vss for apoA-I and PC After Fourth Infusion for All Participants
Measured: Before first infusion (baseline) and for up to approximately 7 days after fourth infusion
Change From Baseline in Plasma Vss for apoA-I and PC After First Infusion for Participants With Normal Renal Function
Measured: Before first infusion (baseline) and for up to approximately 7 days after first infusion
Change From Baseline in Plasma Vss for apoA-I and PC After Fourth Infusion for Participants With Normal Renal Function
Measured: Before first infusion (baseline) and for up to approximately 7 days after fourth infusion
Change From Baseline in Plasma Vss for apoA-I and PC After First Infusion for Participants With Mild Renal Impairment
Measured: Before first infusion (baseline) and for up to approximately 7 days after first infusion
Change From Baseline in Plasma Vss for apoA-I and PC After Fourth Infusion for Participants With Mild Renal Impairment
Measured: Before first infusion (baseline) and for up to approximately 7 days after fourth infusion
Percent of Participants With the Occurrence of Suspected Adverse Drug Reactions
The overall percentage of subjects:
- with adverse events (AEs), including local tolerability events, that begin during or within 1 hour of an infusion; or
- with AEs considered to be causally related to the test product; or
- who experience an AE for which the incidence rate in an active treatment arm exceeds the exposure-adjusted incidence rate in the placebo arm by 30% or more, provided the difference in incidence rates is 1% or more.
Measured: From the start of first infusion, up to approximately Day 382
Percent of Participants With Any Adverse Event (AE)
Measured: From the start of first infusion, up to approximately Day 382
Percent of Participants Who Experience Bleeding Events
The number of subjects who experience bleeding events as defined by the Bleeding Academic Research Consortium (BARC) criteria (Mehran et al, 2011)
Measured: From the start of first infusion, up to approximately Day 112
Change From Baseline in Serum Antibodies to CSL112 and apoA-I
Measured: Before first infusion, up to approximately Day 112
Number of Participants With Positive Serology Results for IgG and IgM Antibodies to Parvovirus B19
Measured: Study Day 112
Number of Participants With Parvovirus B19 DNA in Serum
Measured: Study Day 112
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted9 Apr 2014 (estimated)
- Study startAug 2014
- Primary completionDec 2015
- Study completionMar 2016
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Posted resultsParticipant flow, outcome measures and adverse events reported by the sponsor.
- Publications (4)Papers the sponsor has linked to this study.
- Other trials for Acute Myocardial InfarctionStudies of the same condition, open and under way.
- More trials run by CSL BehringThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Interventional
- Phase
- Phase 2
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind
- Who is masked
- Participant, Care provider, Investigator, Outcomes assessor
- Enrolment
- 1,267 participants (actual)
Sponsor and investigators
- Lead sponsor
- CSL Behring
- Sponsor type
- Industry (pharma, biotech, devices)
- Responsible party
- Sponsor
- Investigators
- Dr. Denise D'Andrea, Study director, CSL Behring
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT02108262
- Sponsor's protocol ID
- CSLCT-HDL-12-77
- Other IDs
- 2013-003458-26
- Status last verified
- Feb 2021
- First submitted
- 31 Mar 2014
- Last updated
- 15 Mar 2021
- Results posted
- Yes, on ClinicalTrials.gov
- Data monitoring committee
- Yes
Publications
Didichenko SA, Velkoska E, Navdaev AV, Greene BH, Lorkowski SW, Duffy D, Mears SJ, Wright SD, Gibson CM, Smith JD, Kingwell BA. CSL112 Infusion Rapidly Increases APOA1 Exchange Rate via Specific Serum Amyloid-Poor HDL Subpopulations When Administered to Patients Post-Myocardial Infarction. Arterioscler Thromb Vasc Biol. 2023 Jun;43(6):855-869. doi: 10.1161/ATVBAHA.122.318243. Epub 2023 Mar 30.
PubMed 36994730Zheng B, Duffy D, Tricoci P, Kastrissios H, Pfister M, Wright SD, Gille A, Tortorici MA. Pharmacometric analyses to characterize the effect of CSL112 on apolipoprotein A-I and cholesterol efflux capacity in acute myocardial infarction patients. Br J Clin Pharmacol. 2021 Jun;87(6):2558-2571. doi: 10.1111/bcp.14666. Epub 2020 Dec 23.
PubMed 33217027Michael Gibson C, Korjian S, Tricoci P, Daaboul Y, Yee M, Jain P, Alexander JH, Steg PG, Lincoff AM, Kastelein JJ, Mehran R, D'Andrea DM, Deckelbaum LI, Merkely B, Zarebinski M, Ophuis TO, Harrington RA. Safety and Tolerability of CSL112, a Reconstituted, Infusible, Plasma-Derived Apolipoprotein A-I, After Acute Myocardial Infarction: The AEGIS-I Trial (ApoA-I Event Reducing in Ischemic Syndromes I). Circulation. 2016 Dec 13;134(24):1918-1930. doi: 10.1161/CIRCULATIONAHA.116.025687. Epub 2016 Nov 15.
PubMed 27881559Gibson CM, Korjian S, Tricoci P, Daaboul Y, Alexander JH, Steg PG, Lincoff AM, Kastelein JJ, Mehran R, D'Andrea D, Merkely B, Zarebinski M, Ophius TO, Harrington RA. Rationale and design of Apo-I Event Reduction in Ischemic Syndromes I (AEGIS-I): A phase 2b, randomized, placebo-controlled, dose-ranging trial to investigate the safety and tolerability of CSL112, a reconstituted, infusible, human apoA-I, after acute myocardial infarction. Am Heart J. 2016 Oct;180:22-8. doi: 10.1016/j.ahj.2016.06.017. Epub 2016 Jul 5.
PubMed 27659879
Study at a glance
From the registry record, last updated by the sponsor on 15 Mar 2021. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- A Phase 2b, Multi-center, Randomized, Placebo-controlled, Dose-ranging Study to Investigate the Safety and Tolerability of Multiple Dose Administration of CSL112 in Subjects With Acute Myocardial Infarction.
- ClinicalTrials.gov ID
- NCT02108262
- Acronym / sponsor ID
- CSLCT-HDL-12-77
- Conditions
- Acute Myocardial Infarction
- Phase
- Phase 2
- Study type
- Interventional
- Recruitment status
- Completed
- Enrolment
- 1,267 participants (actual)
- Lead sponsor
- CSL BehringIndustry (pharma, biotech, devices)
- Study start
- Aug 2014
- Primary completion
- Dec 2015 (actual)
- Study completion
- Mar 2016 (actual)
- First posted
- 9 Apr 2014 (estimated)
- Results
- Posted 15 Mar 2021
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
This is a multicenter randomized, double-blind, placebo-controlled, parallel-group, dose-ranging phase 2b study to investigate the hepatic and renal safety and tolerability of multiple dose administration of two dose levels of CSL112 compared with placebo in subjects with acute myocardial infarction (AMI).
Study design
- Primary purpose
- Prevention
- Allocation
- Randomised
- Intervention model
- Parallel groups
- Masking
- Quadruple blind (participant, care provider, investigator, outcomes assessor)
- Number of arms
- 3
| Arm | Type | Receives |
|---|---|---|
| CSL112 - low dose | Experimental | Biological: CSL112CSL112 (low dose) is to be administered as an intravenous (IV) infusion once weekly for 4 consecutive weeks. |
| CSL112 - high dose | Experimental | Biological: CSL112CSL112 (high dose) is to be administered as an IV infusion once weekly for 4 consecutive weeks. |
| Placebo | Placebo comparator | Biological: PlaceboPlacebo is to be administered as an IV infusion at the same frequency, volume and duration as either the low dose or high dose CSL112 infusion. |
Who may qualify
- Ages
- 18 years and older
- Sex
- All
- Healthy volunteers
- Not accepted
- Age groups
- Adult, Older adult
Key inclusion criteria (1 listed)
- Men or women, at least 18 years of age, with evidence of myocardial necrosis in a clinical setting consistent with a type I (spontaneous) acute myocardial infarction (AMI), in the last week.
Key exclusion criteria (7 listed)
- Ongoing hemodynamic instability
- Evidence of hepatobiliary disease
- Evidence of chronic kidney disease (CKD) (Stage III, IV, or V), defined as moderate or severe renal impairment or if subject is receiving dialysis
- Evidence of unstable renal function
- History of acute kidney injury after previous exposure to an intravenous contrast agent.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Interventions
| Intervention | Type | Arms |
|---|---|---|
| CSL112CSL112 is a novel formulation of apolipoprotein A-I (apoA-I) purified from human plasma and reconstituted to form high-density lipoprotein (HDL) particles. | Biological | CSL112 - high dose, CSL112 - low dose |
| Placebo0.9% weight/volume sodium chloride solution (ie, normal saline) | Biological | Placebo |
Primary outcome
Percent of Participants With Clinically Important Change in Drug-induced Liver Injury
Time frame: From baseline (before first infusion) to Day 29.
A clinically important change in drug-induced liver injury is defined as a change (from baseline) in alanine aminotransferase (ALT) greater than 3 times the upper limit of normal (ULN) or a change in total bilirubin greater than 2 times ULN, that is confirmed upon repeat measurement.
Percent of Participants With Clinically Important Change in Renal Status
Time frame: From baseline (before first infusion) to Day 29.
A clinically important change in renal status is defined as a serum creatinine (Cr) increase to ≥ 1.5 x the baseline value that is confirmed upon repeat measurement.
61 secondary outcomes
The Percentage of Participants With a Time-to-first Major Adverse Cardiovascular Event (MACE)
Time frame: From the start of the first infusion up to approximately 382 days
Change From Baseline in Concentrations of Apolipoprotein A-I (apoA-I) and Phosphatidylcholine (PC) at End of First Infusion for All Participants
Time frame: Before first infusion and end of first infusion
Change From Baseline in Plasma Concentrations of apoA-I and PC at End of Fourth Infusion for All Participants
Time frame: Before first infusion and end of fourth infusion
Change From Baseline in Plasma Concentrations of apoA-I and PC at End of First Infusion for Participants With Normal Renal Function
Time frame: Before first infusion and end of first infusion
Change From Baseline in Plasma Concentrations of apoA-I and PC at End of Fourth Infusion for Participants With Normal Renal Function
Time frame: Before first infusion and end of fourth infusion
Change From Baseline in Plasma Concentrations of apoA-I and PC at End of First Infusion for Participants With Mild Renal Impairment
Time frame: Before first infusion and end of first infusion
Change From Baseline in Plasma Concentrations of apoA-I and PC at End of Fourth Infusion for Participants With Mild Renal Impairment
Time frame: Before first infusion and end of fourth infusion
Change From Baseline in Plasma Cmax for apoA-I and PC After First Infusion for All Participants
Time frame: Before first infusion (baseline) and for up to approximately 7 days after first infusion
Change From Baseline in Plasma Cmax for apoA-I and PC After Fourth Infusion for All Participants
Time frame: Before first infusion (baseline) and for up to approximately 7 days after fourth infusion
Change From Baseline in Plasma Cmax for apoA-I and PC After First Infusion for Participants With Normal Renal Function
Time frame: Before first infusion (baseline) and for up to approximately 7 days after first infusion
Change From Baseline in Plasma Cmax for apoA-I and PC After Fourth Infusion for Participants With Normal Renal Function
Time frame: Before first infusion (baseline) and for up to approximately 7 days after fourth infusion
Change From Baseline in Plasma Cmax for apoA-I and PC After First Infusion for Participants With Mild Renal Impairment
Time frame: Before first infusion (baseline) and for up to approximately 7 days after first infusion
Change From Baseline in Plasma Cmax for apoA-I and PC After Fourth Infusion for Participants With Mild Renal Impairment
Time frame: Before first infusion (baseline) and for up to approximately 7 days after fourth infusion
Change From Baseline in Plasma Tmax for apoA-I and PC After First Infusion for All Participants
Time frame: Before and for 7 days after the first infusion
Change From Baseline in Plasma Tmax for apoA-I and PC After Fourth Infusion for All Participants
Time frame: Before and for 7 days after the fourth infusion
Change From Baseline in Plasma Tmax for apoA-I and PC After First Infusion for Participants With Normal Renal Function
Time frame: Before and for 7 days after the first infusion
Change From Baseline in Plasma Tmax for apoA-I and PC After Fourth Infusion for Participants With Normal Renal Function
Time frame: Before and for 7 days after the fourth infusion
Change From Baseline in Plasma Tmax for apoA-I and PC After First Infusion for Participants With Mild Renal Impairment
Time frame: Before and for 7 days after the first infusion
Change From Baseline in Plasma Tmax for apoA-I and PC After Fourth Infusion for Participants With Mild Renal Impairment
Time frame: Before and for 7 days after the fourth infusion
Change From Baseline in Plasma Area Under the Curve (AUC) AUC0 - Last for apoA-I and PC After First Infusion for All Participants
Time frame: Before first infusion (baseline) and for up to approximately 7 days after first infusion
Change From Baseline in Plasma AUC0 - Last for apoA-I and PC After Fourth Infusion for All Participants
Time frame: Before first infusion (baseline) and for up to approximately 7 days after fourth infusion
Change From Baseline in Plasma AUC0 - Last for apoA-I and PC After First Infusion for Participants With Normal Renal Function
Time frame: Before first infusion (baseline) and for up to approximately 7 days after first infusion
Change From Baseline in Plasma AUC0 - Last for apoA-I and PC After Fourth Infusion for Participants With Normal Renal Function
Time frame: Before first infusion (baseline) and for up to approximately 7 days after fourth infusion
Change From Baseline in Plasma AUC0 - Last for apoA-I and PC After First Infusion for Subjects With Mild Renal Impairment
Time frame: Before first infusion (baseline) and for up to approximately 7 days after first infusion
Change From Baseline in Plasma AUC0 - Last for apoA-I and PC After Fourth Infusion for Participants With Mild Renal Impairment
Time frame: Before first infusion (baseline) and for up to approximately 7 days after fourth infusion
Change From Baseline in Plasma AUC0-t for apoA-I and PC After First Infusion for All Participants
Time frame: Before first infusion (baseline) and for up to approximately 7 days after first infusion
Change From Baseline in Plasma AUC0-t for apoA-I and PC After Fourth Infusion for All Participants
Time frame: Before first infusion (baseline) and for up to approximately 7 days after fourth infusion
Change From Baseline in Plasma AUC0-t for apoA-I and PC After First Infusion for Participants With Normal Renal Function
Time frame: Before first infusion (baseline) and for up to approximately 7 days after first infusion
Change From Baseline in Plasma AUC0-t for apoA-I and PC After Fourth Infusion for Participants With Normal Renal Function
Time frame: Before first infusion (baseline) and for up to approximately 7 days after fourth infusion
Change From Baseline in Plasma AUC0-t for apoA-I and PC After First Infusion for Participants With Mild Renal Impairment
Time frame: Before first infusion (baseline) and for up to approximately 7 days after first infusion
Change From Baseline in Plasma AUC0-t for apoA-I and PC After Fourth Infusion for Participants With Mild Renal Impairment
Time frame: Before first infusion (baseline) and for up to approximately 7 days after fourth infusion
Change From Baseline in Plasma AUC0-∞ for apoA-I and PC After First Infusion for All Participants
Time frame: Before first infusion (baseline) and for up to approximately 7 days after first infusion
Change From Baseline in Plasma AUC0-∞ for apoA-I and PC After Fourth Infusion for All Participants
Time frame: Before first infusion (baseline) and for up to approximately 7 days after fourth infusion
Change From Baseline in Plasma AUC0-∞ for apoA-I and PC After First Infusion for Participants With Normal Renal Function
Time frame: Before first infusion (baseline) and for up to approximately 7 days after first infusion
Change From Baseline in Plasma AUC0-∞ for apoA-I and PC After Fourth Infusion for Participants With Normal Renal Function
Time frame: Before first infusion (baseline) and for up to approximately 7 days after fourth infusion
Change From Baseline in Plasma AUC0-∞ for apoA-I and PC After First Infusion for Participants With Mild Renal Impairment
Time frame: Before first infusion (baseline) and for up to approximately 7 days after first infusion
Change From Baseline in Plasma AUC0-∞ for apoA-I and PC After Fourth Infusion for Participants With Mild Renal Impairment
Time frame: Before first infusion (baseline) and for up to approximately 7 days after fourth infusion
Change From Baseline in Plasma Terminal Half-life (t1/2) for apoA-I and PC After First Infusion for All Participants
Time frame: Before first infusion (baseline) and for up to approximately 7 days after first infusion
Change From Baseline in Plasma Terminal Half-life (t1/2) for apoA-I and PC After Fourth Infusion for All Participants
Time frame: Before first infusion (baseline) and for up to approximately 7 days after fourth infusion
Change From Baseline in Plasma Terminal Half-life (t1/2) for apoA-I and PC After First Infusion for Participants With Normal Renal Function
Time frame: Before first infusion (baseline) and for up to approximately 7 days after first infusion
Results and safety
Loading the posted results from ClinicalTrials.gov…
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 15 Mar 2021.
- Posted resultsParticipant flow, baseline, all outcome measures and adverse events.
- Derived from this study: PubMed 36994730Didichenko SA, Velkoska E, Navdaev AV, Greene BH, Lorkowski SW, Duffy D, Mears SJ, Wright SD, Gibson CM, Smith JD, Kingwell BA. CSL112 Infusion Rapidly Increases APOA1 Exchange Rate via Specific Serum Amyloid-Poor HDL Subpopulations When Administered to Patients Post-Myocardial Infarction. Arterioscler Thromb Vasc Biol. 2023 Jun;43(6):855-869. doi: 10.1161/ATVBAHA.122.318243. Epub 2023 Mar 30.
- Derived from this study: PubMed 33217027Zheng B, Duffy D, Tricoci P, Kastrissios H, Pfister M, Wright SD, Gille A, Tortorici MA. Pharmacometric analyses to characterize the effect of CSL112 on apolipoprotein A-I and cholesterol efflux capacity in acute myocardial infarction patients. Br J Clin Pharmacol. 2021 Jun;87(6):2558-2571. doi: 10.1111/bcp.14666. Epub 2020 Dec 23.
- Derived from this study: PubMed 27881559Michael Gibson C, Korjian S, Tricoci P, Daaboul Y, Yee M, Jain P, Alexander JH, Steg PG, Lincoff AM, Kastelein JJ, Mehran R, D'Andrea DM, Deckelbaum LI, Merkely B, Zarebinski M, Ophuis TO, Harrington RA. Safety and Tolerability of CSL112, a Reconstituted, Infusible, Plasma-Derived Apolipoprotein A-I, After Acute Myocardial Infarction: The AEGIS-I Trial (ApoA-I Event Reducing in Ischemic Syndromes I). Circulation. 2016 Dec 13;134(24):1918-1930. doi: 10.1161/CIRCULATIONAHA.116.025687. Epub 2016 Nov 15.
- Derived from this study: PubMed 27659879Gibson CM, Korjian S, Tricoci P, Daaboul Y, Alexander JH, Steg PG, Lincoff AM, Kastelein JJ, Mehran R, D'Andrea D, Merkely B, Zarebinski M, Ophius TO, Harrington RA. Rationale and design of Apo-I Event Reduction in Ischemic Syndromes I (AEGIS-I): A phase 2b, randomized, placebo-controlled, dose-ranging trial to investigate the safety and tolerability of CSL112, a reconstituted, infusible, human apoA-I, after acute myocardial infarction. Am Heart J. 2016 Oct;180:22-8. doi: 10.1016/j.ahj.2016.06.017. Epub 2016 Jul 5.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Dr. Denise D'Andrea study director
CSL Behring
189 sites in 16 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
A Phase 2 study testing CSL112 in people with Acute Myocardial Infarction, run by CSL Behring at 189 sites in 16 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 1 inclusion and 7 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 15 Mar 2021. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 189 sites in United States, Bulgaria, Czechia, Netherlands, Spain and 11 more countries. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. Some participants in this study may receive a placebo. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
What does this phase mean?
Phase 2 studies give the treatment to a larger group to see whether it has the intended effect and to keep checking safety.
Not every study follows the same path, and some studies (observational studies, device studies) have no phase.
Are results available for this study?
Yes. Results are posted in the registry (first posted 15 Mar 2021). A summary is in the For doctors view, and the full results are on ClinicalTrials.gov.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Percent of Participants With Clinically Important Change in Drug-induced Liver Injury (time frame: From baseline (before first infusion) to Day 29.). The study lists 2 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT02108262, which also lists 4 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 15 Mar 2021.